LEADER 03686nam 2200553Ia 450 001 9910783514003321 005 20231102062643.0 010 $a0-306-48202-9 024 7 $a10.1007/b101885 035 $a(CKB)1000000000244274 035 $a(MiAaPQ)EBC3035953 035 $a(DE-He213)978-0-306-48202-1 035 $a(Au-PeEL)EBL3035953 035 $a(CaPaEBR)ebr10067352 035 $a(OCoLC)70773197 035 $a(EXLCZ)991000000000244274 100 $a20020730d2002 uy 0 101 0 $aeng 135 $aurnn#008mamaa 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 14$aThe ECG in acute myocardial infarction and unstable angina$b[electronic resource] $ediagnosis and risk stratification /$fby Hein J.J. Wellens, Anton P.M. Gorgels, and Pieter A. Doevendans 205 $a1st ed. 2002. 210 $aBoston $cKluwer$dc2002 215 $a1 online resource (IX, 132 p. 231 illus.) 225 1 $aDevelopments in cardiovascular medicine ;$v244 [i.e. 245] 311 $a1-4020-7214-7 320 $aIncludes bibliographical references and index. 327 $aDetermining the size of the area at risk, the severity of ischemia, and identifying the site of occlusion in the culprit coronary artery -- Conduction disturbances in acute myocardial infarction -- Myocardial infarction in the presence of abnormal ventricular activation -- Arrhythmias in acute myocardial infarction -- The electrocardiographs signs of reperfusion -- The electrocardiogram in unstable angina. 330 $aThe electrocardiogram (ECG) remains the most accessible and inexpensive diagnostic tool to evaluate the patient presenting with symptoms suggestive of acute myocardial ischemia. It plays a crucial role in decision making about the aggressiveness of therapy especially in relation to reperfusion therapy, because such therapy has resulted in a considerable reduction in mortality from acute myocardial infarction. Several factors play a role in the amount of myocardial tissue that can be salvaged by reperfusion therapy, such as the time interval between onset of coronary occlusion and reperfusion, site and size of the jeopardized area, type of reperfusion attempt (thrombolytic agent or an intracoronary catheter intervention), presence or absence of risk factors for thrombolytic agents, etc. Most important in decision making on reperfusion therapy and the type of intervention is to look for markers indicating a higher mortality rate from myocardial infarction. The ECG is a reliable, inexpensive, non-invasive instrument to obtain that information. Recently it has become clear that both in anterior and inferior myocardial infarction, the ECG frequently allows not only to identify the infarct related coronary artery, but also the site of occlusion in that artery and therefore the size of the jeopardized area. Obviously, the more proximal the occlusion, the larger the area at risk and the more aggressive the reperfusion attempt. 410 0$aDevelopments in cardiovascular medicine ;$vv. 245. 606 $aMyocardial infarction$xDiagnosis 606 $aElectrocardiography 606 $aAngina pectoris 615 0$aMyocardial infarction$xDiagnosis. 615 0$aElectrocardiography. 615 0$aAngina pectoris. 676 $a616.1/23707547 700 $aWellens$b H. J. J$0850599 701 $aGorgels$b Anton P. M$01532156 701 $aDoevendans$b Pieter A$01532157 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910783514003321 996 $aThe ECG in acute myocardial infarction and unstable angina$93778231 997 $aUNINA